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National trends in the utilization of blood transfusions in total hip and knee arthroplasty

Hiroyuki Yoshihara1, Daisuke Yoneoka2

  • 1Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York; Department of Orthopaedic Surgery, SUNY Downstate Medical Center, Brooklyn, New York.

The Journal of Arthroplasty
|June 4, 2014
PubMed

Total hip arthroplasty (THA) and total knee arthroplasty (TKA) are among the most common surgical procedures that necessitate blood transfusion. The purpose of this study was to examine the trends in the utilization of blood transfusions in THA and TKA in the US from 2000 to 2009 by analyzing the Nationwide Inpatient Sample (NIS). During the last decade, the allogeneic blood transfusion (ALBT) rate increased (THA: 11.2% to 19.1%, TKA: 7.7% to 12.4%), whereas the predonated autologous blood transfusion (PR-ABT) rate decreased (THA: 7.7% to 3.9%, TKA: 6.1% to 2.4%) in primary unilateral THA and TKA patients in US hospitals. Overall blood transfusion rates remained stable over time in primary unilateral THA and TKA patients.

Keywords:
Nationwide Inpatient Sampleblood transfusiontotal hip arthroplastytotal knee arthroplastytrend

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